Table 5.
Relative Risk of Colorectal Cancer Associated with Continuous Log-Transformed Concentrations of Plasma Adiponectin and Plasma Soluble Leptin Receptor, by Subgroups, in the Nurses’ Health Study (1990–2008) and the Health Professionals Follow-up Study (1994–2008)
| Adiponectin
|
Soluble Leptin Receptor
|
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Women
|
Men
|
Women
|
Men
|
|||||||||
| No. of cases | No. of controls | RR (95% CI)a | Ptrendb | No. of cases | No. of controls | RR (95% CI)a | Ptrendb | RR (95% CI)a | Ptrendb | RR (95% CI)a | Ptrendb | |
| Body mass indexc,d | ||||||||||||
| < 25 | 182 | 389 | 1.08 (0.69, 1.68) | 0.74 | 102 | 254 | 0.74 (0.44, 1.24) | 0.25 | 1.05 (0.45, 2.49) | 0.91 | 0.57 (0.20, 1.64) | 0.30 |
| ≥ 25 | 164 | 297 | 0.99 (0.64, 1.55) | 0.97 | 168 | 265 | 0.77 (0.50, 1.20) | 0.25 | 1.71 (0.59, 4.93) | 0.32 | 0.93 (0.40, 2.15) | 0.86 |
| Pinteractione | 0.60 | 0.69 | 0.89 | 0.38 | ||||||||
| Physical activityd,f | ||||||||||||
| <15 in women, <25 in men | 221 | 438 | 1.07 (0.73, 1.57) | 0.72 | 132 | 257 | 0.62 (0.39, 0.97) | 0.04 | 1.65 (0.75, 3.65) | 0.21 | 0.44 (0.18, 1.10) | 0.08 |
| ≥15 in women, ≥25 in men | 125 | 248 | 0.82 (0.49, 1.39) | 0.47 | 138 | 262 | 0.83 (0.51, 1.33) | 0.43 | 0.81 (0.27, 2.43) | 0.71 | 0.72 (0.29, 1.76) | 0.47 |
| Pinteractione | 0.37 | 0.20 | 0.37 | 0.22 | ||||||||
| Aspirin/NSAID use | ||||||||||||
| Non-regular user | 187 | 321 | 1.00 (0.65, 1.54) | 0.99 | 138 | 237 | 0.64 (0.41, 1.00) | 0.05 | 1.41 (0.59, 3.39) | 0.44 | 0.39 (0.16, 0.95) | 0.04 |
| Regular user | 159 | 365 | 1.02 (0.66, 1.58) | 0.93 | 132 | 282 | 0.73 (0.46, 1.16) | 0.18 | 1.11 (0.43, 2.91) | 0.82 | 0.84 (0.34, 2.08) | 0.71 |
| Pinteractione | 0.95 | 0.90 | 0.78 | 0.43 | ||||||||
| Median CRP, mg/L | ||||||||||||
| <1.67 in women, <1.13 in men | 183 | 343 | 1.34 (0.85, 2.10) | 0.20 | 117 | 259 | 0.94 (0.58, 1.55) | 0.82 | 1.41 (0.59, 3.35) | 0.44 | 0.66 (0.26, 1.67) | 0.37 |
| ≥1.67 in women, ≥1.13 in men | 163 | 343 | 0.74 (0.47, 1.15) | 0.18 | 153 | 259 | 0.60 (0.38, 0.95) | 0.03 | 0.99 (0.37, 2.66) | 0.99 | 0.53 (0.22, 1.26) | 0.15 |
| Pinteractione | 0.02 | 0.13 | 0.52 | 0.52 | ||||||||
| Median IL-6, pg/mL | ||||||||||||
| <1.15 in women, <1.40 in men | 169 | 342 | 0.90 (0.57, 1.44) | 0.67 | 110 | 259 | 0.67 (0.40, 1.12) | 0.13 | 1.07 (0.44, 2.60) | 0.88 | 0.68 (0.25, 1.83) | 0.44 |
| ≥1.15 in women, ≥1.40 in men | 176 | 342 | 1.07 (0.70, 1.63) | 0.75 | 160 | 260 | 0.70 (0.45, 1.07) | 0.10 | 1.40 (0.53, 3.69) | 0.50 | 0.58 (0.25, 1.37) | 0.22 |
| Pinteractione | 0.61 | 0.83 | 0.80 | 0.81 | ||||||||
| Median sTNFR-2, ng/mL | ||||||||||||
| <2.58 in women, <2.73 in men | 152 | 343 | 1.25 (0.76, 2.05) | 0.37 | 134 | 259 | 0.68 (0.42, 1.11) | 0.12 | 0.97 (0.36, 2.63) | 0.95 | 1.02 (0.40, 2.61) | 0.97 |
| ≥2.58 in women, ≥2.73 in men | 191 | 343 | 0.96 (0.64, 1.44) | 0.84 | 136 | 260 | 0.72 (0.46, 1.12) | 0.14 | 1.66 (0.70, 3.93) | 0.25 | 0.31 (0.13, 0.75) | 0.009 |
| Pinteractione | 0.44 | 0.99 | 0.82 | 0.17 | ||||||||
| Median C-peptide, ng/mL | ||||||||||||
| <1.82 in women, <2.09 in men | 153 | 337 | 1.07 (0.62, 1.83) | 0.81 | 110 | 258 | 0.87 (0.52, 1.44) | 0.59 | 0.86 (0.30, 2.48) | 0.78 | 0.43 (0.15, 1.20) | 0.11 |
| ≥1.82 in women, ≥2.09 in men | 190 | 337 | 1.04 (0.70, 1.55) | 0.85 | 160 | 258 | 0.59 (0.37, 0.94) | 0.03 | 1.77 (0.74, 4.23) | 0.20 | 0.59 (0.25, 1.39) | 0.23 |
| Pinteractione | 0.78 | 0.15 | 0.20 | 0.87 | ||||||||
Abbreviations: BMI, body mass index; CI, confidence interval; CRP, C-reactive protein; IL-6, interleukin-6; MET, metabolic equivalent = (caloric need/kilogram body weight per hour activity)/(caloric need/kilogram body weight per hour at rest); NSAID, non-steroidal anti-inflammatory drug; RR, relative risk; sTNFR-2, soluble tumor necrosis factor receptor 2.
Stratum-specific relative risks and 95% confidence intervals were estimated for the one-unit increase of log-transformed concentrations of adiponectin and soluble leptin receptor using logistic regression, with adjustment for the same covariates as in model 3 in Table 3. When stratified by regular aspirin/NSAID use, this variable was excluded from the multivariate model.
Test for trend was conducted using the continuous log-transformed concentrations of adiponectin and soluble leptin receptor.
Weight (kg)/height (m)2.
We further adjusted for the interacting variables in the continuous form to control for residual confounding in the stratified analysis.
Multiplicative interaction was evaluated between log-transformed total adiponectin and soluble leptin receptor concentrations and the stratified variables in a multivariable-adjusted logistic regression.
Metabolic equivalent (MET)-hours/week.